Research Article
Volume 10 Issue 9 - 2021
Application of Povidone-Iodine for Treatment of Chylothorax in Children
Kozlov Yuri Andreevich1-3*, Kovalkov KA4, Poloyan SS5, Baradieva P Zh1, Zvonkov DA3, Ochirov Ch B1, Cheremnov VS1 and Kapuller VM6*
1Regional Children’s Teaching Hospital, Irkutsk, Russia
2Irkutsk State Medical Academy of Postgraduate Education, Irkutsk, Russia
3Irkutsk State Medical University, Irkutsk, Russia
4MBHI Children’s City Teaching Hospital, Kemerovo, Russia
5Maternal and Child Health Center, Krasnoyarsk, Russia
6Assuta University Medical Center, Ben Gurion University, Ashdod, Israel
*Corresponding Author: Kozlov Yuri Andreevich, Chief Medical Officer of the Regional State Funded Healthcare Facility, Children’s City Teaching Hospital, Irkutsk, Professor of the Department of Pediatric Surgery at the State Budgetary Educational Institution of Higher Professional Education ISMU, Professor of the Department of the State Budgetary Educational Institution of Higher Professional Education Irkutsk State Medical Academy of Postgraduate Education, Russia.
Received: July 26, 2021; Published: August 16, 2021




Abstract

Introduction: The aim of this study is to demonstrate the experience of non-surgical treatment of congenital and acquired chylothorax using povidone-iodine in children.

Research Materials and Methods: The study presents the results of treatment of 10 patients with chylothorax who underwent chemical pleurodesis using the povidone-iodine medication. The study covered a period from 2016 to 2020. The congenital nature of the disease was registered in 2 patients, the acquired nature of the disease was reported with 8 patients. The main surgical indication was the lack of effect on conservative therapy, including feeding cessation and the administration of the octreotide medication. The procedure consisted of intrapleural injection of 4% povidone-iodine solution into the pleural cavity with a calculated dose of 1 ml/kg and exposure dose of the solution for 4 hours.

Results: The interpleural povidone iodine procedure was effective in all patients. Complications of chemical pleurodesis were registered with 2 patients and were associated with pulmonary edema on the injection side. Lymph outflow stopped on the 4th day, at average. One failure due to malformation of the lungs incompatible with life was reported.

Conclusion: Intrapleural administration of povidone-iodine is an effective treatment for chylothorax in children.

Keywords: Chemical Pleurodesis; Chylothorax; Povidone Iodine

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Citation: Kozlov Yuri Andreevich., et al. “Application of Povidone-Iodine for Treatment of Chylothorax in Children”. EC Paediatrics 10.9 (2021): 03-10.

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